Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Massachusetts (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Central Boston Elder Services, Inc. (NPI 1629282272)

Field	Value
Entity Type	Organization
Organization	Central Boston Elder Services, Inc.
Address	2315 Washington St
City	Roxbury
State	MA
ZIP	02119
Taxonomy	Case Management Agency
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicaid	$186.9M
Medicare	$0

Key Findings

CENTRAL BOSTON ELDER SERVICES, INC. is registered as a Case Management Agency with an NPI enumerated 2007-05-10 (~19 years ago) and reports $186.9M in lifetime Medicaid revenue; there is no Medicare billing on file, indicating the organization operates effectively as a Medicaid-focused provider in this market.

Revenue is highly concentrated: the top three Medicaid codes (S5130, T1019, S5170) together account for 74.5% of this provider's total Medicaid revenue. Individually those codes are S5130 $60.9M (32.6%), T1019 $57.8M (30.9%), and S5170 $20.4M (10.9%), showing that a small set of community-based services drives the majority of receipts.

The code mix points to a community-based long-term services and supports (LTSS) operating model: large volumes of S5130 (homemaker service), T1019 (personal care services), and S5170 (home delivered meals) indicate core business lines are homemaker/personal care and nutrition support rather than acute clinical or physician-driven care. Presence of case management codes (T2022, T1016) and other non-skilled services reinforces that the agency delivers holistic, non-clinical supportive services to enable community living.

CENTRAL BOSTON is a dominant statewide provider for certain services: S5130 ranks #1 of 162 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and S5170 ranks #1 of 62 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). T1019 shows high absolute volume as well (286.2K claims, $57.8M) and ranks #9 of 137 providers in-state (94th percentile; typical, unremarkable volume for this code), suggesting market leadership on homemaker and meal delivery while personal care volumes are large but more distributed among peers.

Beyond the top three, the provider also bills notable sums for related support services that add breadth to its LTSS portfolio: G0156 $15.8M (8.5%) for home health/hospice aide services and S5135 $14.3M (7.7%) for companion care, indicating capacity to offer both personal assistance and companion/adl support in addition to homemaker and meal programs. These secondary codes rank in mid-to-high percentiles (G0156 ranks #73 of 193, 63th percentile; S5135 ranks #4 of 74, 96th percentile), reflecting a mix of typical and above-typical participation across service lines.

The heavy reliance on time-based, workforce-intensive codes (many top services are billed per 15 minutes or per meal, including S5130, T1019, S5135, S5125, S5120) implies the organization’s cost structure and operational capacity are likely driven by staffing, scheduling, and logistics. That operational model creates both scalability opportunities for high-volume, routine services (e.g., meal delivery and homemaker visits) and sensitivity to workforce availability and wage/benefit changes.

Concentration risk and contracting implications are material: with S5130 alone representing $60.9M (32.6%) of Medicaid revenue and the top three codes making up 74.5% of revenue, changes in Medicaid program policy, rate-setting, or managed-care contracting for these specific service categories could disproportionately affect the provider’s revenue. Conversely, the provider’s clear dominance in certain codes (two state #1 rankings and multiple high-percentile positions) supports its negotiating position with Medicaid plans seeking reliable homemaker and meal-delivery capacity.

Data limitations and strategic signal: the absence of Medicare billing on file confirms a Medicaid-centric footprint, and the agency’s ~19-year tenure suggests an established local operation. Analysts evaluating network adequacy, LTSS capacity, or managed-care partnerships should treat CENTRAL BOSTON as a major Medicaid-era community support vendor in Roxbury/MA with concentrated strengths in homemaker services and meal delivery, while monitoring exposure tied to a narrow set of high-revenue codes.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	548,800	$110	$60.9M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	286,180	$200	$57.8M
S5170	Home delivered meals, including preparation; per meal	702,110	$30	$20.4M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	22,100	$720	$15.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	94,130	$150	$14.3M
S5102	Day care services, adult; per diem	20,240	$220	$4.5M
S5125	Attendant care services; per 15 minutes	6,800	$420	$2.9M
T2003	Non-emergency transportation; encounter/trip	17,540	$120	$2.1M
S5120	Chore services; per 15 minutes	8,380	$230	$1.9M
S5175	Laundry service, external, professional; per order	52,980	$30	$1.6M

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

Claims Volume vs. Massachusetts Distribution

Central Boston Elder Services, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	9	140	7,990	$90	$61.6M
S5140	Foster care, adult; per diem	158	160	48,640	$110	$19.5M
H0043	Supported housing, per diem	102	110	22,180	$90	$5.3M
S5125	Attendant care services; per 15 minutes	14	40	3,390	$300	$4.7M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	30	50	11,820	$40	$4.4M
S5102	Day care services, adult; per diem	199	340	25,780	$110	$4.1M
S5130	Homemaker service, nos; per 15 minutes	1	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	73	190	14,240	$110	$3.7M
T2022	Case management, per month	43	80	7,230	$50	$2.6M
S5170	Home delivered meals, including preparation; per meal	1	60	50,010	$20	$2.5M

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Central Boston Elder Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Services Of Roxbury, Inc.	MA	Community/Behavioral Health Agency	$0	$59M
Dimock Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$29.3M
Dimock Community Services Corporation	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
Hope House Inc.	MA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$23.8M
Central Boston Elder Services, Inc.	MA	Home Health Agency	$0	$11M
Central Boston Elder Services, Inc.	MA	Case Management Agency	$0	$9.5M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$9.1M
Anubha Sacheti	MA	General Practice Dentistry	$0	$7M
Paulina Heywood	MA	Clinical Social Worker	$77.5K	$0
Marybeth Meservey	MA	Obstetrics & Gynecology Nurse Practitioner	$5.1K	$15.1K

Central Boston Elder Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Central Boston Elder Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Central Boston Elder Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Central Boston Elder Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References